Prairie View Animal Hospital

24 Rich Road
Dekalb, IL 60115

(815)756-9976

pvahosp.com



Client Feedback - How are we doing?

We at Prairie View Animal Hospital are always looking for ways to improve our service to you.  Your suggestions, ideas, and comments are always welcome.

Thank you again for helping us be a better practice.

Client Feedback Form

General Patient Information
How often have you visited Prairie View Animal Hospital within the past year?
first visit
2-5 visits
more than 6 visits
Scheduling Your Appointment
Did you schedule an appointment by phone or did you drop in?

If you scheduled an appointment, did you have to wait longer than expected?

How easy was it to make an appointment by telephone?

Was the person who scheduled your appointment courteous and helpful?

Day of Your Appointment
How would you rate the courtesy of the staff at the reception desk?

How long did you wait in the reception area beyond your scheduled appointment time?

How long did you wait in the exam room before the veterinarian appeared?

The Medical Support Staff
Did the support staff member clearly identify themselves and their qualifications?

How would you rate the competence of the technician/assistant who helped you?

How would you characterize the concern that the technician/assistant showed?

Did the technician/assistant respond to your requests within a reasonable period?

How would you rate the professionalism and competence of the technician/assistant?

The Doctor
Were you able to see the veterinarian of your choice?

Did you feel that your veterinarian spent an adequate amount of time with you?

Please mark the boxes that characterize the demeanor of your veterinarian
Attentive
Concerned
Friendly
Distracted
Rushed
Inconsiderate
Did you feel that your veterinarian's examination was thorough?

Please rate the clarity of the veterinarian's explanation of the condition and treatment options?

Were your questions answered to your satisfication?

Would you recommend this facility and staff to your family and friends?

Please provide additional comments/concerns:


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